Our expert says:
You have treated this with all the possible medications - stool softeners, and local suppositories. Piles are actually a type of varicose vein around the anus, so if medication does not help, it needs to be treated surgically. These days there are more options than traditional hemorroidectomy operations than 12 years ago e.g. laser treatments, so discuss with your surgeon.
See also http://hcd2.bupa.co.uk/fact_sheets/html/haemorrhoids.html
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